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Director Of Emergency Services - FSED
San Antonio, TX
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Job Summary

The Director of Free-Standing Emergency Services leads clinical operations, service delivery, and growth across two FSED locations. This leader ensures high-quality patient care, strong staff performance, regulatory compliance, and effective resource management. Role includes oversight of Imaging, Lab, Admitting, Security, Environmental Services, and Support Services.

Key Responsibilities

Operational & Clinical Leadership

  • Identify real and potential issues in service delivery and implement effective solutions.
  • Drive patient experience initiatives across both FSEDs.
  • Enforce emergency care standards and develop processes to ensure consistent compliance.
  • Develop, implement, and evaluate an ongoing emergency services program aligned with the hospital’s mission.
  • Oversee PI activities, ensuring continuous monitoring and improvement of critical care aspects.
  • Ensure departmental adherence to hospital policies, regulatory requirements, and safety standards.

People & Culture

  • Lead and mentor staff; provide coaching, feedback, and performance evaluations.
  • Participate in staff rounding and identify/mentor emerging leaders.
  • Apply evidence-based employee engagement strategies.
  • Communicate organizational and industry updates clearly and effectively.
  • Maintain compliance with all Human Resources policies.

Collaboration & Communication

  • Participate in hospital and departmental committees, providing communication back to represented teams.
  • Build effective relationships with internal partners to support departmental and organizational goals.

Additional Responsibilities

  • Support day-to-day operational excellence across both FSED locations.
  • Follow Exposure Control Plans/Bloodborne and Airborne Pathogen protocols.
  • Perform additional duties as assigned.

Qualifications

  • Bachelor’s degree in Nursing (required)
  • Master’s degree in Nursing, Business, Healthcare Administration, or related field (preferred)
  • 3+ years emergency services experience
  • 3+ years leadership experience (preferred)
  • Active RN license in the state of practice
  • ACLS required
  • PALS or ENPC required
  • BLS required

Role Structure & Additional Details

Two FSED Locations:

  • City Base: ~45 patients/day; mostly low acuity; dedicated Manager in place
  • Alamo Heights: ~40 patients/day; older population; ~12 FTEs; Director is based here (no Manager; supported by CNCs)

Other Notes:

  • Facilities are 5–6 miles apart
  • Both locations operate under a major local hospital system’s emergency services division
  • Direct reporting line to the Division VP of Emergency Services


Salary Max: $130,000

Incentive Bonus of 17.5% - 26.25%

Relocation: $15,000

Sign-On Bonus: Case by Case 


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